NDC 00409-5093-11
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
FORTAZ 2 GRAM ADDVANTAGE VIAL
Low
$14
Average
$139
Median
$144
High
$205
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 16 hospitals; the 90th percentile is 11.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northside Hospital, Inc. Duluth, GA | $145 | $129 | $59 | 46% | 6–60 | $29 – $451 |
| 2 | Northside Hospital, Inc. Lawrenceville, GA | $145 | $129 | $59 | 46% | — | $35 – $451 |
| 3 | Northside Hospital, Inc. Canton, GA | $145 | $124 | $62 | 50% | — | $26 – $451 |
| 4 | Northside Hospital, Inc. Atlanta, GA | $145 | $126 | $59 | 47% | — | $37 – $451 |
| 5 | Northside Hospital, Inc. Cumming, GA | $145 | $124 | $62 | 50% | — | $28 – $451 |
| 6 | Allina Health Systems Buffalo, MN | $2 | $14 | $23 | 158% | — | $0 – $80 |
| 7 | Allina Health Systems Faribualt, MN | $2 | $14 | $23 | 158% | — | $0 – $80 |
| 8 | Allina Health Systems River Falls, WI | $22 | $22 | $18 | 81% | — | $2 – $80 |
| 9 | Baptist Healthcare System Inc. Louisville, KY | $149 | $199 | $65 | 32% | — | $2 – $291 |
| 10 | Baptist Healthcare System Inc Lexington, KY | $151 | $205 | $72 | 35% | — | $2 – $295 |
Ask Claude or any MCP client for NDC 00409-5093-11 pricing at a specific hospital — see how to connect.